Abstract

FACTORS ASSOCIATED WITH THE RATE OF CESAREAN SECTION(C SECTION) IN A TERTIARY CARE HOSPIITAL

G. V. Sai Sindhu, L. Shilpa*, Kalyani Ramidi, I. Neelam, Dr. Sharadha Srikanth, Dr. T. Rama Mohan Reddy.

Abstract

AIM: To study the factors associated with rate of cesarean section in a tertiary care hospital. METHODS: A prospective observational study was carried out in tertiary care hospital between Aug 2015 – Jan 2016. We included pregnant women who underwent Cesarean section of all age groups, all gravid with co-morbid conditions of in- patient department. We analyzed the collected data by using statistical method ANOVA windostat 9.2 version. The relative contribution of each indication to overall Cesarean section rate was determined. RESULTS: In this study, we found that the caesarean delivery rate was decreased from 40% to 38.6% between Aug 2014 –Jan 2015 and Aug 2015 – Jan 2016. Among the documented indications, extreme significance was noted for Oligohydramnios, preeclampsia, latent phase of labour, previous LSCS and PROM. The relative contributions of indication for Cesarean section rate: preeclampsia (28%); Oligohydramnios (26%); latent phase of labour (23%); previous LSCS (22%); PROM (17%). CONCLUSION: Cesarean section rate was found to be high in urban women when compared to that of rural women. Better pre and perinatal care will help in reducing Cesarean section rate in our setup.

Keywords: Cesarean section, Preeclampsia, Oligohydramnios, Pre and perinatal care.